Provider Demographics
NPI:1619901261
Name:AKERMAN, WILLIAM Y (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:Y
Last Name:AKERMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4584 OLDE SMOAK HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:YONGES ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29449-6025
Mailing Address - Country:US
Mailing Address - Phone:843-437-8884
Mailing Address - Fax:843-889-3091
Practice Address - Street 1:1064 GARDNER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5768
Practice Address - Country:US
Practice Address - Phone:843-437-8884
Practice Address - Fax:843-889-3091
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4251OtherDENTAL LICENSE